PRIMARY CARE OF ADA, LLC
NPI 1851744312
Internal Medicine in Ada, OK

Active since July 20, 2016
1705 CRADDUCK RD, ADA, OK 74820(580) 279-6313 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Of Ada, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE OF ADA, LLC (NPI 1851744312) is a healthcare organization registered as an internal medicine in Ada, Oklahoma and active in the NPI registry since July 2016. The organization lists Randi Ivy, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1851744312
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE OF ADA, LLC
Location Address1705 CRADDUCK RDAda, OK 74820-9491
Mailing Address1705 Cradduck Rd Ste BAda, OK 74820-9491
Organization SubpartNo
Authorized OfficialRandi IvyCredentialing Specialist · (580) 272-0485
Enumeration DateJuly 20, 2016
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
NPI 1851744312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1705 CRADDUCK RD, Ada, OK 74820

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1705 CRADDUCK RD
ADA, OK 74820
Counselor (Mental Health)
1705 CRADDUCK RD
ADA, OK 74820
Counselor (Mental Health)
1705 CRADDUCK RD
ADA, OK 74820
Counselor (Mental Health)
1705 CRADDUCK RD
ADA, OK 74820
Counselor
1705 CRADDUCK RD
ADA, OK 74820
Rehabilitation Counselor
1705 CRADDUCK RD
ADA, OK 74820
Social Worker (Clinical)
1705 CRADDUCK RD
ADA, OK 74820
Counselor (Mental Health)
1705 CRADDUCK RD
ADA, OK 74820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care Of Ada, LLC's NPI number?

The NPI number for Primary Care Of Ada, LLC is 1851744312. It was assigned to this organization in the NPPES registry on July 20, 2016.

Where is Primary Care Of Ada, LLC located?

Primary Care Of Ada, LLC is located at 1705 Cradduck Rd, Ada, OK 74820. The listed phone number is (580) 279-6313.

What is Primary Care Of Ada, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Primary Care Of Ada, LLC was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.